Trading Goods for Lives: NAFTA’s Mortality Impacts and Implications
Why It Matters
The findings imply trade liberalization can have substantial, localized public-health costs when it disproportionately hits manufacturing, underscoring the need for targeted labor-market and health interventions to offset the social consequences of trade shocks.
Summary
Using county-level mortality data and a research design that exploits spatial variation in local labor-market exposure, Matt Notto and co-authors find that NAFTA increased mortality in U.S. communities most exposed to import competition. The paper shows a clear industry pattern: declines in manufacturing employment raised mortality, while declines in non-manufacturing employment reduced it. The authors compare NAFTA’s effects with other shocks (the Great Recession and rising China import competition) and argue that heterogeneity in mortality responses is driven by how concentrated shocks are in manufacturing. Methods include OLS and instrumental-variable estimates using employment-to-population variation across local labor markets.
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